Quality Assurance Specialist

🔥 3 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🔧 QA Engineer (Quality Assurance)

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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AdaptHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2019

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Logistics • Manufacturing • Healthcare

AdaptHealth is a company that provides healthcare solutions with a focus on respiratory health, sleep health, diabetes health, and wellness at home. With a network of 671 locations in 47 states, AdaptHealth delivers 38,225 home medical supplies each day and holds 2,825 insurance contracts. The company is dedicated to empowering patients to live their best lives, offering products and services such as CPAP machines, oxygen supplies, diabetes supplies, and a variety of medical equipment. AdaptHealth is highly rated by its customers for fast, reliable, and courteous service. They emphasize patient care solutions that integrate seamlessly into daily life, supported by online support and fast shipping services. Their mission is to change lives by providing the necessary healthcare tools to patients nationwide.

📋 Description

• Review delivery/shipping tickets and on-site orders for compliance with accreditation and payer regulations before billing confirmation • Confirm delivery/shipping tickets and on-site orders daily • Index confirmed tickets onto the appropriate EMR • Develop and maintain knowledge of current HME products and services • Enter patient notes and updates into patient records • Review documentation for validity, completeness, and accuracy • Verify or obtain alternate contact information, delivery addresses, instructions, and telephone numbers • Select cost-effective delivery methods and document delivery expectations and requests • Identify system or process trends to improve efficiency and create cost savings • Process, verify, and submit documentation and orders • Complete insurance verification • Enter and review EMR information, authorizations, and expiration dates • Communicate insurance trends to leadership • Verify insurance carriers in the company database and request additions when needed • Maintain and review documentation for insurance coverage and reimbursement • Contact sales, operations teams, and physicians for supporting medical necessity documents • Report issues to the supervisor and coordinate required documentation submission • Assist with performance improvement related to billing and coding • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent • One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry • Senior level requires two (2) years of work-related experience and one (1) year of exact job experience • Exact job experience includes the listed tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance • Ability to navigate through multiple online EMR systems • Knowledge of HME products and services • Knowledge of CMS or managed care payer billing guidelines • Ability to complete insurance verification and determine eligibility, coverage, co-insurances, and deductibles • Ability to accurately process, verify, and submit documentation and orders • Ability to meet quality assurance requirements and key performance metrics